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APPLICATIA FOR CONSTRUCAN PERMIT <br />CITY OF EVERETT -'.BUILDING DIVISION <br />3200 CEDAR STREET F EVERETT, WA 96201 •259-0810 <br />DEMOLITION ❑ COMBINATION ❑ BUILDIN�Gj ❑r MECHANICAL <br />❑ PLUMBING 0 SIGN <br />PROJECTADDRESS: _ 9�1J > /�fi'NY/! �� !=1'��T(C�7 �✓F1• (OZ�� <br />3 <br />lE�TIMffS <br />City <br />TIP <br />MIONE <br />."lECTORBESIGWER <br />1Mg1ESS <br />CITY <br />_Ih' �� <br />PIIGNE <br />GENENN Conk NC1011 <br />MNI AOMlE55 <br />f.IIY <br />Ill' <br />MIJEIE <br />SlAtEtICENSE• <br />MECHAMCAIC ATRACTOR <br />M.Vt ACOSESS <br />City <br />)11' <br />TIME <br />STATELICENSE- <br />PLUMBING CONTRAC FM <br />MNL AOIIRESS <br />CITY <br />tIP <br />PIIONE <br />STATEICENSE- <br />IIEATING SYSTEM: <br />❑ GAS <br />❑ ELECTRIC ❑ <br />CON IR.ACT PRICE OF WGRN <br />OE!4NBE MOfiK ANT) SOl1ARE FOOTAGE wvOEVED <br />C'1N11cI PEIlSM1 ANTI MIGNE NO <br />G <br />�OLl�il otil <br />__. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCFL THE PROVISION OF ANY <br />01 HER S1ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />HIS PROPERTY TOPERFORM THE WORK FOR WHICH <br />APIS MADE AND I COMPLY WITH THE STATE <br />CCR§LA 10.27 RCW ND 200WWAC. <br />X_SICVI <br />tUW <br />M+vGseousE a BVILG-IOC_-- <br />LEGAL MESCmPIICN OF I9gPERTY IL1pWN BELOW 0R A11KN1Y.000nE51 //JJ /J <br />LOT MOCK or SP <br />d I�I L \ll e 27Y o7 <br />tFIFPMONF.NUMBER <br />GATE <br />J <br />CNY MSINERS ICEISE Np <br />PLUMBING <br />MECIIANICAL <br />NO. <br />E OF FIXTURE OR REM <br />FE <br />NO. <br />TYPE OF EOUNMIENi <br />FEE _ <br />WATER CL TQOILE:T) <br />_ <br />NC—MWOLG UNITS <br />BATHTUB <br />FORCED AIR SYSTEMS <br />LAVATORY (WASH SIN) <br />_ <br />HEAT PUMP <br />SHOWER <br />UNIT HEATERS <br />KITCHEN SINK A OISP <br />_ <br />DFWERS <br />DISHWASHER <br />OD <br />LAUNDRY TRAY <br />ATEN <br />CLOTHES WASHER <br />—WOOD OVE <br />URINAL <br />_ <br />PLACE(V/OOD BUR G) <br />M::�:):PIN. <br />DRINKING —FOUNTAIN <br />E SERT (WOOU13 KING) <br />FLOOR DRAIN <br />PLAC <br />BACKFLOW PREVENTE <br />GE <br />SINK (SERVICE — B .ETC) <br />G <br />i— <br />— <br />EXHAUST FAN <br />SUBTOTAL S <br />SUBTOTAL f_ <br />PERMIT f <br />PERMIT f <br />TOTAL FEE S <br />TOTAL FEE f <br />FOR OFFICE USE ONLY: <br />FRONT SFTPKK PEAR SFIRACK SITE SETBACK MAN CIRCA F£F R£C.EWTNO <br />LOT MEA <br />OYES ❑ NO TALAIINNt <br />NEIGNT IIMTAigX <br />NO RDNELLIN11 <br />WE OF 9lM6'fl <br />"NITS <br />nI1MII11H1 <br />OCCUPANCY NO MEIMES <br />MCUPANI-DAD <br />BASEMENT <br />MECIIANiCN <br />CROUP <br />I <br />❑Yt5 ONG <br />—'— <br />_ <br />_-.-_.. <br />-- <br />— <br />AouMwN nlNclrcF.e <br />oulEn <br />SIAtC NFIIMIn'.AMK.IMI16[ <br />�- I <br />CRY OF EVERETT nBN lr. rxvWR <br />LOCAL SALES --- <br />TAX Cf "" IS 3105 TOTAL <br />